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Tagged With "Court System"

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Former Youth Corrections Officials: We Want to Help Close Youth Prisons [chronicleofsocialchange.org]

Rachel C. Allen ·
A juvenile detention facility in Alabama. Photo: Rob Carr/ The Nation It’s time to close this nation’s youth prisons. They don’t serve their purpose: keeping our neighborhoods safe and helping young people turn their lives around. They fail to fulfill this core mission despite costing $150,000 per youth per year. In New York State, starting in 2008, we closed 26 juvenile jails. This came after Human Rights Watch and the ACLU, the state Inspector General , and the United States Department of...
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Free 2-Day Course on Community Resiliency Model

Kelsey Visser ·
August 15-16, 2019 , 8 a.m. - 5 p.m. Valencia College School of Public Safety 8600 Valencia College Lane, Room 149 Orlando, Fl., 32825 NO COST Registration Link: https://web.spcollege.edu/survey/28951 The Community Resiliency Model® (CRM) introduces participants to six wellness skills to help create “trauma-informed” and “resiliency-informed” individuals and communities that share a common understanding of the impact of trauma and chronic stress on the nervous system. Resiliency can be...
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Got time for a little brainstorming with ACEsConnection?

Jane Stevens ·
On Friday, March 20, 2020, you're invited to join me to talk about how we, as a community, can continue to guide and educate ourselves about to deal with the effects of the spread of Covid-19, and how to continue those efforts with people who don't yet know about ACEs science. And, given this last week, how we can provide more support to stay in the front of our brains instead of feeding our amygdala.
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Got Your ACE, Resilience Scores?

Jane Stevens ·
What's Your ACE Score? (and Your Resilience Score?) There are 10 types of childhood trauma measured in the ACE Study. Five are personal -- physical abuse, verbal abuse, sexual abuse, physical neglect, and emotional neglect. Five are related to other family members: a parent who's an alcoholic, a mother who's a victim of domestic violence, a family member in jail, a family member diagnosed with a mental illness, and the disappearance of a parent through divorce, death or abandonment. Each...
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How do these pediatricians do ACEs screening? Early adopters tell all.

Laurie Udesky ·
Last week, three pediatricians — with a combined experience of 15 years integrating ACEs science into their practices — reflected on the urgency they felt several years ago that prompted them to begin screening patients for childhood adversity and resilience when there was practically no guidance at all. Along their journey , they accumulated a list of lessons learned for other pediatricians and family clinics to use. The three pediatricians participated in the ACEs Connection webinar,...
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It took 3 years, 6 versions to develop ACEs screener that works for parents & providers

Laurie Udesky ·
It’s irrefutable: Widespread research shows that adverse childhood experiences (ACEs) are common. That’s why researchers in a recent study insist: “It behooves pediatric providers to take an active role in preventing and identifying childhood adversity in order to reduce the health consequences of toxic stress.” In other words, if you want your kids to have a good shot at a healthy life, make sure they — and you — are educated about and screened for ACEs and resilience. In a recent study —...
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ACEs Science Champions Series: Meet Florida's Johnny Appleseed. She plants seeds of ACEs science!

Sylvia Paull ·
Dr. Mimi Graham is Florida’s Johnny Appleseed, but instead of planting apple trees, she’s been seeding hundreds of ACEs-science-informed schools, courts, juvenile detention centers, hospitals, childcare centers, home visiting programs, mental health agencies, law enforcement agencies, and drug treatment centers. Graham, who has served as director of the Florida State University Center for Prevention and Early Intervention Policy in Tallahassee since 1993, focuses on early childhood,...
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NEMOURS CEO LARRY MOSS: LET'S INVEST MORE IN KIDS' HEALTH [HealthLeaders]

Kelsey Visser ·
Medical care represents only a fraction of what we should consider when we think about health, Moss said. The rest includes things like social determinants of health, in their various forms, including education, literacy, housing, safety, freedom from adverse childhood experiences, and other social factors.
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New ‘Handle With Care’ system alerts Manatee schools to kids in possible trouble [Bradenton Herald]

Kelsey Visser ·
This is not a "new story" but I think this program is critical to consider for Central Florida (as far as I understand we have not implemented this here). At a recent trauma-healing conference I was able to hear about the success of this program in Manatee County Schools and I believe this could be a model for what is possible her in Central Florida. Please see the article by the Brandenton Herald below: BY GIUSEPPE SABELLA APRIL 02, 2018 04:59 PM Detention may be the wrong option for a...
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Next "A Better Normal" community discussion series: April 7, 2020 — Tian Dayton

Jane Stevens ·
Therapist and author Dr. Tian Dayton, who first started writing about ACEs science more than 20 years ago, will address grief and maintaining emotional sobriety during COVID-19. Carey Sipp, Southeast community facilitator for ACEs Connection, will host this community conversation, and Alison Cebula, Northeastern regional community facilitator, will moderate.
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One state. One year. (Partial) Cost of ACEs = $5.2 billion.

Jane Stevens ·
In looking at the impact of childhood trauma, you can’t get much clearer than this: In 2017, ACEs among Tennessee adults led to an estimated $5.2 billion in direct medical costs and lost productivity from employees missing work. That’s just one year, according to the new report, “ The Economic Cost of ACEs in Tennessee ," released on Feb. 1, 2019 by The Sycamore Institute in Nashville, Tenn. And to provide some perspective, $5.2 billion is one-seventh of the state’s annual budget . This $5.2...
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Overview of the Community Resiliency Model, used worldwide to help trauma survivors re-regulate their central nervous system, offered in two, free 90-minute webinars.

Carey Sipp ·
Elaine Miller Karas , key creator of the Community Resiliency Model (CRM), will be joined by CRM trainers from Wilmington, NC, Allison Wine , behavioral specialist, and Kelly Purcell , instructional coach and multi-tiered support specialist for this free, two-part training. Register now for two, FREE 90-minute sessions May 7 from 11 a.m. - 12:30 p.m. EST and May 14 from 11 a.m. - 12:30 p.m. EST (The complete overview requires attendance at both sessions. Registration link below registers you...
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Recording and slides now available for webinar on Florida’s Early Childhood Courts: Transforming Child Welfare

Information (recording, slides, and resources) on the June 6 webinar "Florida’s Early Childhood Courts: Transforming Child Welfare" is now available (and soon to posted in the ACEs Connection webinar section on the homepage). This well-attended and received webinar was sponsored by the National Center on Domestic Violence, Trauma & Mental Health and co-sponsored ACEs Connection and the Campaign for Trauma-Informed Policy and Practice ( CTIPP ) Webinar Summary Every six minutes in the...
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Sheltering in Place: ACEs-Informed Tips for Self-Care During a Pandemic

Jim Hickman ·
Millions of lives have been affected in unprecedented ways by the Coronavirus (COVID-19). We are all grappling with uncertainty—our daily routines interrupted, not knowing what is to come. For those of us who have Adverse Childhood Experiences (ACEs), these times can be particularly distressing. At the Center for Youth Wellness (CYW), we know that childhood trauma can have a significant impact on an individual’s health and well-being – both physiologically and psychologically. Since the...
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Substance Use Disorder and Brain Development

Lisa Frederiksen ·
The inputs a brain experiences during its developmental stages have a profound impact on whether that person will develop a substance use disorder (if they choose to drink or use other drugs). In turn, developing a substance use disorder (SUD) as a tween, teen, or young adult dramatically influences that person's brain development. And why is understanding this causality important? The risk factors for developing a substance use disorder are the result of inputs the brain experiences (or...
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Systems Are Not People-Shaped

Robin Saenger ·
A few weeks ago I was at a big kickoff event for a new county-wide project to address what our communities feel are the biggest concerns we face. It definitely had its moments and I was all eyes and ears ready to absorb new info and be inspired by the power of coming together for a purpose. One of the last things that I heard that morning was to show the promise of next steps – the speaker said that basically in order to do anything meaningful – you, of course, need a building which – good...
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The Tiny Cell that Connects our Physical and Mental Health, and Solves a Decades-old Mystery of Why Toxic Stress Leads to Brain Changes that Spark Depression, Anxiety

Donna Jackson Nakazawa ·
More than a decade ago, I was diagnosed with several autoimmune diseases, one after another, including Guillain-Barré syndrome , which left me paralyzed twice while raising two young children. All told I spent six years in and out of bed and hospitals, learning, between crises, to use a cane or walker to navigate life as a working-mother-with-chronic-illness. My immune system was repeatedly and mistakenly attacking my body, causing the nerves in my arms, legs, and those I needed to swallow...
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Thinking About Racial Disparities in COVID-19 Impacts Through a Science-Informed, Early Childhood Lens [developingchild.harvard.edu]

By Jack P. Shonkoff and David R. Williams, Center on the Developing Child, April 27, 2020 The COVID-19 virus is ruthlessly contagious and, at the same time, highly selective. Its capacity to infect is universal, but the consequences of becoming infected are not. While there are exceptions, children are less likely to show symptoms, older adults and those with pre-existing medical conditions are the most susceptible, and communities of color in the United States are experiencing dramatically...
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Too many emails!!&%@!! 

Jane Stevens ·
We hear you! With the phenomenal growth of ACEs Connection (we’re now at more than 22,200 terrific members), the volume of content has burgeoned, and email notifications from the site about the latest blog posts and comments can be (OK, OK...are!) overwhelming. Especially to those people (about 17,000 of you) who became members before October 2017, when we changed our system so that new members don’t automatically receive emails about blog posts and comments from ACEs Connection. So, here’s...
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Too many emails!!&%@!! 

Jane Stevens ·
We hear you! With the phenomenal growth of ACEs Connection (we’re now at more than 22,200 terrific members), the volume of content has burgeoned, and email notifications from the site about the latest blog posts and comments can be (OK, OK...are!) overwhelming. Especially to those people (about 17,000 of you) who became members before October 2017, when we changed our system so that new members don’t automatically receive emails about blog posts and comments from ACEs Connection. So, here’s...
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Tools and how to use them is focus of second webinar on Community Resiliency Model, May 14, 2020

Carey Sipp ·
The second of two free Community Resiliency (CRM) webinars with Elaine Miller-Karas , key creator of the CRM, will be held Thursday, May 14, from 11 a.m. - 12:30 p.m. ET, (10 a.m. CT; 9 a.m. MT, and 8 a.m. PT) and will include the practical application of tools of the model. CRM is an ACEs science-based biological model for helping individuals become emotionally regulated during natural disasters and other dysregulating times. Miller-Karas will be joined by CRM trainers from Wilmington, NC:...
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Trauma-informed Care in Juvenile Detention Is Not Enough [Juvenile Justice Information Exchange]

Kelsey Visser ·
By Samantha Howell, November 25, 2019 While Florida has taken steps toward integrating trauma-informed practices in the juvenile justice system, the state needs to reconsider its treatment of youth. Notably, utilizing trauma-informed care in the juvenile justice system, while necessary, is not sufficient — prevention should be the goal, with trauma-informed services implemented in all child-involved systems. The state must also stop incarcerating children with adults and offer all juveniles...
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Upates, good news, recommendation and link to register for Making Meaningful Change: Addressing ACEs through Public Policy Webinar February 18

Mimi graham ·
The World Health Organization has compiled a recent meta-analysis about how much ACEs cost us Millions of adults across Europe and north America live with a legacy of ACEs. Their findings suggest that a 10% reduction in ACE prevalence could equate to annual savings of $105 billion. Programs to prevent ACEs and moderate their effects are available. Rebalancing expenditure towards ensuring safe and nurturing childhoods would be economically beneficial and relieve pressures on health-care...
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Webinar: Cultivating Our Best Selves in Response to COVID-19 | Tuesday, March 17 at Noon PDT

Elaine Miller Karas ·
How to use the skills of the Community Resiliency Model (CRM) for self and others to be the calm in the storm as we face the unknown. Free Webinar Tuesday, March 17 at Noon PDT Speakers: Elaine Miller-Karas, LCSW Linda Grabbe, PhD, FNP-BC, PMHNP-BC Zoom Webinar Registration Link: https://zoom.us/j/715837300 Additional ways to join are listed at the bottom of this post. About the webinar leaders: Elaine Miller-Karas is the Executive Director and co-founder of the Trauma Resource Institute and...
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Webinar—Florida's Early Childhood Courts:
 Transforming Child Welfare on June 6 (3:00-4:30 ET)

Please join this June 6 webinar on Florida’s early childhood courts (aka “safe babies courts”) hosted by the National Center on Domestic Violence, Trauma & Mental Health and co-sponsored by the Campaign for Trauma-Informed Policy and Practice and ACEs Connection. Background: Every six minutes in the U.S., an infant, toddler or child under the age of 3 is removed from their homes for alleged abuse and neglect and placed in state custody through the child welfare system (Zero to Three).
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When the Cross is On the Table

Robin Saenger ·
Susan Traylor says “When they see the cross on the table, they know someone has died.” The ‘they’ she is talking about are the many folks experiencing homelessness in our small community of Tarpon Springs, Florida. A few weeks ago, the cross was on the table for Terry. I knew him by sight but never knew his name. I observed him over the past few years quite often in a state that makes most people not only uncomfortable, but anxious and fearful as he argued with someone only he could see. He...
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A Lesson in Resilience [The Grove - Valencia College]

Kelsey Visser ·
Left to right: Director of the Peace and Justice Institute Rachel Allen, Administrative Manager of the PJI Community Will Jefferson, Keynote Speaker Kenneth Ginsburg and Orlando Mayor Buddy Dyer To View the Entire Conference Video, Click Here --- Tuesday, May 12, 2020 By Rachel Allen , Director, Peace and Justice Institute The second annual Creating a Resilient Community: From Trauma to Healing conference scheduled for Tuesday, April 21, 2020, was certain to be a success. Our first...
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ACEs Connection's Inclusion Tool makes sure nobody's left out

We developed ACEs Connection's Diversity, Equity & Inclusion Tool — called the Inclusion Tool, for short — to ensure that ACEs initiatives across the world focus on being inclusive when forming a steering committee, recruiting leaders, providing education about ACEs science, recruiting members, or providing resources and services within their communities. The more inclusive your ACEs initiative is, the more diverse it will be, giving your initiative a real shot at achieving equity and...
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ACES Strategic Planning Meeting Notes (6-18-2019)

Kelsey Visser ·
Hi everyone! After the success of the Creating a Resilient Community: From Trauma to Healing conference in April, there has been enormous interest in keeping the momentum going. With this in mind, strategic planning meetings have been held since the conference and the most recent one happened on 6/18/19 at Valencia College. You can read the notes from our most recent meeting here (attached) and see what amazing things people are working on in our community. For example, ACEs tracking...
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Action needed today by trauma advocates to urge Congress to address mental health and trauma in current COVID-19 legislation

The follow is a message from Dan Press, Legal Advisor to the Campaign for Trauma-Informed Policy and Practice ), about the need to contact Congress regarding a COVID 19 funding bill being considered this weekend. He is urging ACEs science/trauma advocates and leaders to send emails to their U.S. Senators and Representatives immediately to address the mental health and trauma implications of this pandemic. All – I hate to bother you on a Sunday, but we urgently need you to contact Congress to...
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Alachua County resources deputies find alternatives to arrests [Florida Times Union]

Kelsey Visser ·
By Sadie Darnell (Alachua County Sheriff) This column was written in response to the Oct. 6 piece by University of Florida Associate Professor F. Chris Curran, “Arrests show perils of putting police in primary schools.” When law enforcement actions such as the recent arrests of two 6-year-olds in Orlando take place on campuses, we all take a step back and reflect on what our own policies and practices are. Fortunately, for the citizens of Alachua County, we have long practiced restraint and...
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All Over the Map: A Baseline Analysis of the incidence of Childhood Trauma and the Implementation of Trauma-Informed Care in Florida [UF Lastinger Center for Learning]

Kelsey Visser ·
All Over the Map "... In summary, the State of Florida is at an inflection point. “All over the map” is a phrase that comes to mind in describing the disparate picture across counties both in the incidence of adverse childhood events as well as the implementation of trauma-informed care programming. The analysis and recommendations within this report were developed to inform discussions on effective policy and practice considerations that will ultimately reduce the incidence of these...
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Childhood trauma in the classroom [ACER]

Kelsey Visser ·
A child with 4 or more ACEs is 32x more likely to misbehave in class. Mollie Tobin outlines research from neuroscience, psychology and education to highlight new understandings in childhood trauma research, and explores how this can be applied in the classroom. There is a misconception that children are more resilient than adults to the effects of trauma and will ‘outgrow’ traumatic experiences (Lieberman & Knorr, 2007). However, new understandings in developmental and neuroscience...
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Children at 12 Years of Age Must Not Be Tried as Adults (Revelations In Education)

Kelsey Visser ·
By Lori L. Desuteis http://revelationsineducation.com/children-at-12-years-of-age-must-not-be-tried-as-adults/ This is in response to Indiana Senate Bill 279/Now SB479 I am so exhausted from how so many of our policy leaders and government officials create laws, make decisions, and ignore research and the implications of that research as we continually perpetuate more of the same trauma and toxic cycles within our communities. SB279 Waiver to adult court for attempted murder. Provides that...
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Community Resilience Model - Orlando, FL - May 16-17, 2019

Rachel C. Allen ·
The Community Resiliency Model ® (CRM) introduces participants to six wellness skills to help create “trauma-informed” and “resiliency-informed” individuals and communities that share a common understanding of the impact of trauma and chronic stress on the nervous system. Resiliency can be restored or increased using this skills-based approach. CRM ® is an effective tool to be used for self-care and is especially helpful for those community members who are the front-line workers, responding...
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Creating A Resilient Community: Panel Comments From Orlando Pediatrician, Dr. Candice Jones

Rachel C. Allen ·
Panelist Dr. Candice Jones at the Creating a Resilient Community: From Trauma to Healing Conference in Orlando, Florida on April 3rd, 2019. When I was asked to be a panelist for the community conference on healing from ACES and give my vision as a pediatrician on how to create a trauma-informed and resilient Central Florida, I was both honored and nervous. To be perfectly honest, I didn’t know about the science of toxic stress or the word, ACES until about 4 years ago. No, I didn’t learn...
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Practice Slowing Down [Peace and Justice Institute at Valencia College]

Tracy Calato ·
Practice Slowing Down By Paul Chapman Valencia College, Professor of Humanities and Peace and Justice Institute Campus Coordinator Practice Slowing Down . Simply the speed of modern life can cause violent damage to the soul. By intentionally practicing slowing down, we strengthen our ability to extend nonviolence to others - and to ourselves. I use this principle every day, but with one small change in the wording. I prefer to use the term “peace”. By intentionally practicing slowing down,...
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The Traumatic Impact of Racism on Young People and How to Talk About It [Dr. Kenneth Ginsburg]

Kelsey Visser ·
Dr. Kenneth Ginsburg (Keynote speaker from the recent Creating a Resilient Community Conference) shared the excerpt from his book Reaching Teens titled The Traumatic Impact of Racism on Young People and How to Talk About It. This is a valuable resource for anyone interacting with youth and we are providing the excerpt as an attachment here for you to read and share. Also, Dr. Ginsburg will be coming back to our community (virtually) and you’ll be invited to his workshop. Look out for the...
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Support our efforts to secure a CDC ACEs grant to advance FL as a trauma-informed state!

Mimi graham ·
Dear Trauma Friends & Colleagues: We are applying for CDC ACES grant to further our efforts toward a trauma informed state. It’s a collaborative effort across state agencies to improve ACES data collection and utilizes to target prevention strategies. Details in the attached overview. It’s a long shot with only 4 awards but our statewide collaborative efforts are a big strength and it might help push us to the top if we had many letters of support. Attached is a draft letter that you...
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A Better Normal Tuesday, June 30th at Noon PDT: Reinterpreting American Identity, a Community Discussion

Alison Cebulla ·
"I think that all of us, regardless of our racial or ethnic background, feel relieved that we no longer have to deal with the racism and the sexism associated with the system of slavery. But we treat the history of enslavement like we treat the genocidal colonization of indigenous people in North America, as if it was not that important, or worse, as if it never happened." —Angela Davis, "The Meaning of Freedom" Please join us for the ongoing community discussion of A Better Normal, our...
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Help Navigating the Road to Community Resiliency

Becky Haas ·
The first time I ever heard the words trauma-informed care and the Adverse Childhood Experiences (ACEs) study was in the summer of 2014. At the time, I was working for the local Police Department as the Director of a grant-funded Crime Reduction Project aimed at reducing drug-related and violent crime. Of the many program goals, one was to develop a rehabilitative corrections program for felony offenders with addictions in order to reduce recidivism. Though I’ve lived in this region for...
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Greater Richmond Trauma Informed Community Network, first to join ACEs Cooperative of Communities, shows what it means to ROCK!

Jane Stevens ·
In 2012, Greater Richmond SCAN and five other community partners hatched a one-year plan to educate the Richmond, Virginia, community about ACEs science and to embed trauma-informed practices. Eight years later, the original group has evolved into the Greater Richmond Trauma-Informed Community Network (GRTICN) with 495 people and 170 organizations. And they're just scratching the surface.
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Trauma-informed policing: Learn how three highly experienced community leaders strengthen ties between police and community

Carey Sipp ·
ACEs initiative participants in communities where there is tension between the community and law enforcement will want to join Becky Haas in a compelling conversation on law enforcement, ACEs science, COVID-19 and the Black Lives Matter movement and protests. Haas is a nationally recognized adverse childhood experiences (ACEs) science initiative builder and trainer. She and colleagues Renee Wilson-Simmons, the head of the ACE Awareness Foundation of Memphis, Tennessee, and Maggi Duncan,...
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Baby courts: A proven approach to stop the multigenerational transmission of ACES in child welfare; new efforts to establish courts nationwide

Carey Sipp ·
The organization Zero To Three estimates that in the U.S., a child is taken into the child welfare system every six seconds. “Many of society’s most intractable problems can be traced back to childhood adversity. Being in the child welfare system increases the likelihood of more adversity and criminality. Baby court is a proven approach to healing the trauma of both child and parent, and breaking the cycle of maltreatment,” says Mimi Graham, Ed.D ., director of the Florida State University...
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We must be willing to sacrifice for common good in troubled times [Orlando Sentinel Guest Column]

Kelsey Visser ·
Guest Column: We must be willing to sacrifice for common good in troubled times By Rachel Allen, Director Peace and Justice Institute at Valencia College We are living in unprecedented times which invite each of us to grow our inner resources and resilience. Nurturing these strengths may seem daunting in light of the health, social and economic crisis our world is facing. Our humanity is being disrupted and tested. How will we adapt? COVID-19 lays bare the reality of our interconnectedness...
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Does VP Candidate Kamala Harris know about ACEs?  You bet!

Nadine Burke Harris, California’s Surgeon General, has a lot in common with the vice presidential candidate Kamala Harris—Jamaican heritage, surname, home state—and a commitment to addressing ACEs and toxic stress. As reported in the New Yorker article by Paul Tough, “The Poverty Clinic,” Dr. Harris told Kamala Harris, then San Francisco district attorney, about ACEs in 2008 and in response, she offered to help. District Attorney Harris then introduced her to professor of child and...
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FSU launches new level of professional certification on trauma and resilience (Florida State University News)

Karen Clemmer ·
By Anna Printess, August 31, 2020, Florida State University News. Florida State University’s College of Social Work recently launched a new level in its successful Professional Certification in Trauma and Resilience online series. The curriculum series, developed by the Clearinghouse on Trauma and Resilience within the college’s Institute for Family Violence Studies in conjunction with the FSU Center for Academic and Professional Development , enables professionals to develop the knowledge...
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New ACEs initiatives learn about strategic plan development from from New Hanover (NC) Resiliency Task Force executive director Mebane Boyd

Carey Sipp ·
The desire to see other ACEs initiatives grow and flourish was evident at a recent meeting of the Resilient Columbus County (North Carolina) ACEs initiative when Mebane Boyd, executive director of the New Hanover Resiliency Task Force (also in North Carolina), shared with the Columbus County and neighboring Pender County groups how New Hanover created and works on its strategic plan. In the spirit of sharing, Boyd agreed to let ACEs Connection post the strategic plan and the video of the...
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The Intersection of Systematic Racism, the Pandemic, and SDoMH: Reality Mandates Change

Ellen Fink-Samnick ·
Systematic racism is at the core of mental health disparities and social determinants of mental health (SDoMH).Upstream factors obstruct patient access to needed and appropriate assessment, timely intervention, with treatment for these populations often reflecting poorer quality, and ending prior to completion of treatment. COVID-19 and the recent pandemic have only amplified meso and micro-level gaps in care. considered, provided, and reimbursed.
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"A Better Normal" Community Discussion: Suicide Awareness and Community Cafes

Karen Clemmer ·
Join us on Friday November 6, 2020 from noon to 1:00 PST as we come together and join Satya Chandragiri MD, Bonnie O’Hern RN, Denise Proudfoot RN, & Michael Polacek RN for a discussion around the tender issue of suicide. Together we will discuss ways people and providers can support each other and encourage communities to take action to support one another around suicide prevention, crisis intervention, and the layers of culture and structural barriers to care. A special emphasis will be...
 
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